川北医学院学报
川北醫學院學報
천북의학원학보
JOURNAL OF NORTH SICHUAN MEDICAL COLLEGE
2015年
3期
310-313
,共4页
董满库%姜福全%李晓鸥%孙宏伟%胡刚%吉敏%杨建武%王平%李成林%张宏文%崔彥
董滿庫%薑福全%李曉鷗%孫宏偉%鬍剛%吉敏%楊建武%王平%李成林%張宏文%崔彥
동만고%강복전%리효구%손굉위%호강%길민%양건무%왕평%리성림%장굉문%최언
胆囊肿瘤%根治性切除术%肝叶切除%胰十二指肠部分切除
膽囊腫瘤%根治性切除術%肝葉切除%胰十二指腸部分切除
담낭종류%근치성절제술%간협절제%이십이지장부분절제
Gallbladder carcinoma%Radical resection%Hepatic lobectomy%Partial pancreatoduodenectomy
目的：：总结NevinⅤ期胆囊癌的外科治疗经验,探讨胆囊癌侵犯周围脏器后的手术方式(肝叶切除+胰十二指肠部分切除)和根治性切除的可行性。方法：回顾性分析2000年1月至2014年1月间,经手术治疗并有病理诊断的8例Ne-vinⅤ期胆囊癌患者的临床资料。结果：8例患者均顺利完成手术,其中1例术后1周死于急性肾功能衰竭,1例仅生存9个月,其余6例生存超过2年,无生存超过3年病例。结论：对部分伴有十二指肠和胰头前方受侵犯的胆囊癌患者,特别是起源于胆囊体底部的NevinⅤ期胆囊癌患者,如无明显远处转移,患者全身情况能够耐受手术,应积极行手术探查,联合肝叶及胰十二指肠部分切除治疗是一种确实可行的手术方式,可提高患者的生存质量,延长生存期,并减少术后并发症。
目的：：總結NevinⅤ期膽囊癌的外科治療經驗,探討膽囊癌侵犯週圍髒器後的手術方式(肝葉切除+胰十二指腸部分切除)和根治性切除的可行性。方法：迴顧性分析2000年1月至2014年1月間,經手術治療併有病理診斷的8例Ne-vinⅤ期膽囊癌患者的臨床資料。結果：8例患者均順利完成手術,其中1例術後1週死于急性腎功能衰竭,1例僅生存9箇月,其餘6例生存超過2年,無生存超過3年病例。結論：對部分伴有十二指腸和胰頭前方受侵犯的膽囊癌患者,特彆是起源于膽囊體底部的NevinⅤ期膽囊癌患者,如無明顯遠處轉移,患者全身情況能夠耐受手術,應積極行手術探查,聯閤肝葉及胰十二指腸部分切除治療是一種確實可行的手術方式,可提高患者的生存質量,延長生存期,併減少術後併髮癥。
목적：：총결NevinⅤ기담낭암적외과치료경험,탐토담낭암침범주위장기후적수술방식(간협절제+이십이지장부분절제)화근치성절제적가행성。방법：회고성분석2000년1월지2014년1월간,경수술치료병유병리진단적8례Ne-vinⅤ기담낭암환자적림상자료。결과：8례환자균순리완성수술,기중1례술후1주사우급성신공능쇠갈,1례부생존9개월,기여6례생존초과2년,무생존초과3년병례。결론：대부분반유십이지장화이두전방수침범적담낭암환자,특별시기원우담낭체저부적NevinⅤ기담낭암환자,여무명현원처전이,환자전신정황능구내수수술,응적겁행수술탐사,연합간협급이십이지장부분절제치료시일충학실가행적수술방식,가제고환자적생존질량,연장생존기,병감소술후병발증。
Objective:To summarize the experience of surgical treatment of gallbladder carcinoma in Nevin’ s stage V and to explore the gallbladder carcinoma invading the adjacent organs after the operation mode ( Hepatic lobectomy and partial pancreatoduo-denectomy) and the feasibility of radical resection. Methods:A retrospective analysis from January 2000 to January 2014,clinical data and pathological diagnosis after surgical treatment of 8 cases of Nevin’ s stage V gallbladder cancer patients. Results:8 patients were successfully completed the operation,including 1 cases of postoperative 1 weeks died of acute renal failure,1 cases only survived 9 months,the remaining 6 cases survived more than 2 years,no survival for more than 3 years cases. Conclusion:On the part of the duo-denum and the head of the pancreas with front against violations of the gallbladder cancer patients,especially in patients with Nevin’ s stage V gallbladder cancer originated in the bottom of the gallbladder body,such as no obvious metastasis,general condition of the pa-tients can tolerate the operation,we should actively explore the operation,combined with the hepatic lobectomy and partial pancreatodu-odenectomy is a really feasible operation mode which can improve the life quality of patients,prolong the survival period,and reduce the postoperative complications.
